Individual
JACOB JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1021 SUMMIT AVE, OCONOMOWOC, WI 53066-4499
(262) 567-9173
Mailing address
1021 SUMMIT AVE, OCONOMOWOC, WI 53066-4499
(262) 567-9173
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
20413
WI
Other
Enumeration date
12/01/2020
Last updated
03/26/2022
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